Hysteroscopy Dilation and Curettage (D&C)

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What is Hysteroscopy Dilation and Curettage (D&C)?

Here’s a clear and detailed overview of Hysteroscopy with Dilation and Curettage (D&C) — ideal for medical awareness, patient education, or hospital info materials:

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Hysteroscopy with D&C is a combined diagnostic and therapeutic procedure used to examine the inside of the uterus and treat or evaluate abnormal uterine conditions.

  • Hysteroscopy uses a thin, lighted scope inserted through the vagina to visualize the uterus.
  • Dilation and Curettage involves dilating the cervix and scraping or suctioning the uterine lining to remove tissue.

Types of Hysteroscopy with D&C

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To evaluate causes of abnormal bleeding or infertility.

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To treat conditions like polyps, fibroids, retained tissue, or heavy bleeding.

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Some can be done under local anesthesia in clinics, others need hospital admission and sedation.

Symptoms Indicating the Need for This Procedure

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Heavy or irregular menstrual bleeding
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Postmenopausal bleeding
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Suspected uterine polyps or fibroids
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Retained tissue after miscarriage or delivery
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Infertility evaluation
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Recurrent miscarriages

Risk Factors That May Lead to This Procedure

Hormonal imbalances (e.g., estrogen dominance)

Endometrial hyperplasia

Uterine fibroids or polyps

Chronic anovulation (especially in PCOS)

Age (more common in women over 35–40)

Postmenopausal changes

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Causes for Performing Hysteroscopy D&C

Uterine polyps or fibroids

Endometrial cancer screening

Incomplete miscarriage or abortion

Heavy bleeding with unknown cause

Retained placenta

Endometrial hyperplasia (overgrowth)

How to Prevent Conditions Leading to This Procedure

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Maintain a healthy weight and diet

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Regular gynecological exams

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Manage conditions like diabetes or thyroid disorders

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Hormonal therapy if advised

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Monitor menstrual patterns and report changes early

Treatment Value of Hysteroscopy D&C

Provides immediate relief from bleeding

Helps clear retained tissue

Offers accurate diagnosis through biopsy

Can resolve fertility-related issues

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Procedure Steps of Hysteroscopy D&C

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Preparation –

Fasting, lab tests, anesthesia consent.

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Cervical Dilation –

Gently widened to allow instrument access.

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Hysteroscope Insertion -

Uterus visualized through a lighted camera

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Curettage -

Uterine lining gently scraped/suctioned

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Biopsy (if needed) -

For histopathology

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Recovery -

Brief observation, some cramping/spotting normal